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Individual

ERAN PRAISE WORSHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
224 N ROCKFORD RD, ARDMORE, OK 73401-2549
(580) 224-9000
(580) 224-9009
Mailing address
224 N ROCKFORD RD, ARDMORE, OK 73401-2549
(580) 224-9000
(580) 224-9009

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110034
OK

Other

Enumeration date
10/10/2017
Last updated
03/14/2023
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